“It is with great concern for protecting the ability of policymakers to utilize value analysis to ensure patients can obtain the best prescription drugs at the most appropriate and affordable prices, that Patients For Affordable Drugs Now (P4ADNow) strongly urges members of the House Energy and Commerce Subcommittee on Health to vote against H.R. 485, the Protecting Health Care for All Patients Act of 2023, in its current form. The bill will not protect health care for all patients. Rather, it will harm the ability of patients to obtain the medications they need at prices they can afford and will prevent them from getting critical information on the value of drugs.
“As a patient with an incurable cancer whose drugs carry a combined list price of more than $900,000 per year, I know firsthand the importance of a drug price system that fairly prices drugs based on their value to patients. This bill aims to block the use of value analysis in the United States, a tool already used by the U.S. Department of Veteran Affairs, Medicaid, and many employers who provide drug coverage for millions of Americans. It goes beyond prohibiting the use of quality-adjusted life years (QALYs), a measure we do not advocate for at P4ADNow, and instead threatens the use of any form of value analysis in drug price assessment.
“H.R. 485 will undermine current and future reforms to empower the federal government’s ability to rein in taxpayer spending and lower prices of drugs with unjustified price tags and little clinical benefit. Specifically, the bill could jeopardize the hard-won drug price reforms in the Inflation Reduction Act which are already lowering costs for patients.
“It is axiomatic that to stimulate and reward innovative new drug development, we should pay more for high value drugs and less for low value drugs. Without value analysis, we lose a key tool to measure value for patients.
“Members of Congress must use their power to preserve value analysis as part of a reliable system that clearly and transparently assesses the value of drugs as one central factor to arrive at appropriate prices by voting no on H.R. 485 as currently written.”
Eli Lilly made headlines this week with its announcement that it will (finally) lower some of the company’s insulin prices by 70 percent and cap out-of-pocket costs at $35 per month for most patients. “Eli Lilly’s new insulin prices and caps will deliver long-awaited relief to many people living with diabetes in this country,” said P4AD’s Merith Basey. The move will deliver relief to some patients like Clayton who said this news “alleviates some of the worry” about his daughter’s ability to afford her insulin; but he shares the same sentiment as David, who lives with type 1 diabetes, and asked, “What the heck took you so long?” Patients have suffered needlessly for decades as Eli Lilly hiked insulin prices — Alec, whose mom Nicole has become a steadfast advocate for lower insulin prices, tragically passed away when he was forced to ration his Humalog due to cost. Humalog is Lilly’s most commonly prescribed insulin and even with the reduced list price it will still be more than three times what it was when approved in 1996. Meanwhile, it’s unlikely the changes will hurt Eli Lilly’s bottom line. “Let us be abundantly clear, these lower prices are not thanks to Eli Lilly’s generosity – this win is thanks to the relentless pressure and years of activism by patient advocates,” Merith continued. Now legislators and drug priceadvocatesarecalling on Sanofi and Novo Nordisk, the other two big insulin corporations, to follow suit and reduce their insulin prices. “We must be clear that this announcement is not due to the benevolence of Eli Lilly, but rather the result of painstaking and difficult work done by those who’ve spent so much of their time and energy over the years pushing for change and reform,” patient advocate Clayton wisely remarked. “We must also be clear that this is not the end.” — (Eli Lilly, P4AD, KTLA, CBS News, The New York Times, NPR, Office of Senator Bernie Sanders)
2. Both Chambers Are Looking Into PBMs
This week, the House Oversight and Accountability Committee opened an investigation into the role of pharmacy benefit managers (PBMs) in our drug price system. Republican Chairman James Comer called for more transparency into the middlemen’s practices, remarking that “Pharmacy Benefit Managers’ anticompetitive tactics are driving up health care costs for Americans and harming patient care.” We completely agree. The three major PBMs control 80 percent of the PBM market, and there is increasing integration between PBMs and insurers – this gives drug companies an outsized impact on the cost of medications to patients. “We have consistently supported investigations into the practices of secret PBMs to ensure they are serving patients first and foremost to produce lower prices and better health,” tweeted P4AD’s David Mitchell. We are pleased that there is strong momentum on both sides of the aisle and in both chambers of Congress to uncover and reform the secretive practices of these powerful middlemen. It’s time to investigate whether PBMs are putting patients first. — (The Hill)
3. Thank You, Taxpayers
A new study published this week in The BMJ found that during the 35 years prior to the COVID-19 pandemic, the U.S. government invested at least $337 million into research that led to the development of the mRNA COVID-19 vaccine. The government — the National Institutes of Health (NIH), the Department of Defense (DoD), and the Biomedical Advanced Research and Development Authority (BARDA) — also contributed over $31 billion to support clinical trials, manufacturing, and vaccine supply for people in the U.S. and for global donation during the first two years of the pandemic. Drug corporations like Moderna and Pfizer-BioNTech then used all this taxpayer funded research and investment (significantly de-risked by the government) to develop the vaccine. On the backs of hard working taxpayers, drug companies raked in billions of dollars in profit and are now increasing the price of the vaccines to continue to pad their bottom line. Senate Health, Education, Labor, and Pensions (HELP) Committee Chairman Bernie Sanders wants answers – he called on Moderna CEO Stéphane Bancel to testify before the committee on March 22 in a hearing called “Taxpayers Paid Billions For It: So Why Would Moderna Consider Quadrupling the Price of the COVID Vaccine?” Americans know the true story of the vaccines – and we won’t allow Big Pharma to pad their pockets on the backs of taxpayer dollars. Everyone deserves access to vaccines. — (The BMJ)
4. More Patent Abuse By Big Pharma
Members of the Senate Judiciary Committee aren’t the only ones calling out drug companies’ suspect use of the patent system – Big Pharma shareholders demanded drug companies disclose information on work to prevent generic competition by filing additional patents. Eight of the nine companies – AbbVie, Amgen, Eli Lilly, Gilead, Johnson & Johnson, Merck, Pfizer, and Regeneron – are fighting the new proposals, predictably defending the companies’ bottom lines at all costs, with no regard for patients. Meanwhile, Jazz Pharmaceuticals exploited our patent system to prevent generic competition from coming to market and keep the price of its narcolepsy drug high. While patients currently face a more than $200,000 annual list price and Medicare spends hundreds of millions of dollars annually on the drug, Jazz Pharmaceuticals piled up patents to generate more than $13 billion in revenue since the company acquired the drug in 2005. The company’s patent abuse “deprived narcolepsy patients of access to a new drug that was much easier to take” and is “an egregious example of how drug companies exploit the patent system to shield their products from competition for as long as possible.” It’s time to fix our rigged patent system so that patients can afford their medication. — (Financial Times, The New York Times)
5. Significant Savings From The Inflation Reduction Act
The drug price reforms in the Inflation Reduction Act provide savings to patients, employers, employees, and the government. A new Congressional Budget Office (CBO) report estimates that the new drug price law will save people on Medicare $25 billion and will reduce the federal deficit by $237 billion from 2022 to 2031. “This really does demonstrate the cost savings for both seniors and the Medicare program,” says Megan O’Reilly, AARP vice president for health and family issues. CBO emphasizes the impact of the law for people on Medicare, who will have better ability to afford and access their medications, leading to a decreased need for other medical care such as hospital visits. CBO also expects prices on negotiated drugs to drop by about 50 percent. Senators Manchin, Murray, and Markey spread the word this week about how the Inflation Reduction Act will provide relief from high drug prices for patients in their states. “This law is going to be life changing—and lifesaving—for so many seniors and people with disabilities who rely on Medicare,” Senator Murray shared at a roundtable. The reforms are wildly popular — 79 percent of voters across party lines support the $35 monthly insulin copay caps which will be especially impactful to people of color, who are disproportionately affected by diabetes. The savings from the historic drug price law are long-awaited. — (Congressional Budget Office, AARP, Office of Senator Joe Manchin, Office of Senator Patty Murray, Boston Herald, Data For Progress, WisPolitics)
Have a great weekend, everyone!
Just like Angela Bassett, the Senate Judiciary Committee did the thing, and passed five bipartisan bills to help fix key elements of our rigged drug price system.
Welcome To The Week In Review.
The Inflation Reduction Act Keeps Bringing Relief
Patients across the country are speaking out about the ways the new drug price reforms in the Inflation Reduction Act are improving their lives. Patricia in Virginia was able to get a free shingles vaccine; Julia in Kansas will save thousands of dollars a year now that her insulin copays are capped at $35 a month; Judy in Arizona is “already seeing savings on prescription drugs;” and in 2025, thousands of Montanans on Medicare Part D “will have the peace of mind that comes from knowing that their pharmacy costs are capped.” Members of the Biden administration and partners are working to spread the word to make sure more people on Medicare know how the law is lowering drug costs. Director of Center for Medicare Meena Seshamani joined an AARP hosted tele-town hall to walk through the new reforms: “It was really important to deliver [cost savings] right away because we know how much not only people with Medicare, but their families, [and] their communities who support them, have been struggling with these high costs.” Department of Health and Human Services (HHS) Secretary Xavier Becerra joined a Pittsburgh-based nonprofit and new U.S. House Representative Summer Lee to make sure people on Medicare “know what their rights are” when it comes to the new drug price reforms. For Julia, the Inflation Reduction Act means a lot: “I really cried the day that I saw that this had been passed, because it is such a huge thing.” — (The Free Lance-Star, Shawnee Mission Post, AARP, Arizona Daily Star, Independent Record, AARP, WESA)
2. Senators Are Serious About PBM Reform
Last week, the Senate Committee on Commerce, Science, and Transportation held a hearing calling for transparency into and accountability from pharmacy benefit managers (PBMs). Members of the committee discussed the Pharmacy Benefit Manager Transparency Act of 2023 (S. 127), a bill that has potential to shine a light on the secret practices of PBMs. “There is no transparency in PBMs. When you combine that with anti-competitive tactics, this is a recipe where the only people who win in healthcare costs are PBMs,” Senator Jon Tester said at the hearing. We agree, and are glad to see the committee, and Congress at large, is building momentum to address this part of our drug price system. “One of the reasons we must have transparency and take these steps towards reform is because there’s too much integration here,” P4AD’s David Mitchell remarked in an interview this week. “It used to be that PBMs were separate from insurers and now they are one in the same. We need to see how those mergers are affecting the way the PBMs do business.” This hearing builds on efforts by the Senate Judiciary Committee, which passed a bipartisan package of five bills earlier this month, including one bill (S. 113) that would launch an investigation into the role of PBMs within the pharmaceutical supply chain. Politico’s Megan R. Wilson spoke optimistically about the PBM reforms in this Congress, saying, “I just think there’s more momentum…than there’s been in a while.” Members of Congress on both sides of the aisle recognize the importance of taking on PBMs – we look forward to working further with Congress to ensure PBMs work for patients, not corporate bottom lines. — (Fierce Healthcare, Health Payer Specialist, Politico)
3. It’s TIME To “Return The Patent System To Its Original Intent”
This week, leaders in the drug pricing space and members of Congress are talking about how Big Pharma’s abuse of the U.S. drug patent system continues to force patients to pay high drug prices. “At the root of our nation’s drug pricing crisis is the industry’s egregious abuse of a broken drug patent system,” the Initiative for Medicines, Access & Knowledge (I-MAK)’s Tahir Amin and P4AD’s David Mitchell summarized in a new op-ed in TIME. The authors call on Congress to “stand up to drugmakers’ deceptive, anti-competitive tactics and return the patent system to its original intent.” Members of Congress are taking note of Big Pharma’s patent abuses, too. Sens. Elizabeth Warren and Bernie Sanders, and Reps. Katie Porter and Pramila Jayapal wrote a letter on Wednesday to the U.S. Patent and Trademark Office (USPTO) asking the agency to closely review additional patent requests on Merck’s blockbuster cancer drug Keytruda. Merck is attempting to “[extend] its monopoly power over the drug” with additional patents that would delay competing drugs from coming to market, keep prices high, and limit access for patients. This inquiry follows the Senate Judiciary Committee’s recent passage of five bipartisan bills that include legislation to address patent abuse and increase coordination between the USPTO and the U.S. Food and Drug Administration (FDA) to ensure that patents are not unfairly blocking competition. We are grateful to see momentum and bipartisan support for patent reform from members of Congress – and we will keep fighting until the rigged patent system is fixed and patients can afford their medications. — (TIME, Endpoints)
Bonus: ICYMI, check out last week’s media roundup of P4AD leaders and patient advocates debunking Big Pharma, fighting for future reforms, and celebrating recent wins.
Have a great weekend, everyone!
Happy Friday! Here’s a quick media roundup featuring P4ADNow leaders and patient advocates in the news this week fighting for lower drug prices
1. In a new STAT op-ed, P4ADNow’s David Mitchell debunked one of Big Pharma’s newest lies: that the drug price reforms in the Inflation Reduction Act economically disadvantage small molecule drugs compared to biologics, which will hurt innovation, increase prices, and harm patients. “The Inflation Reduction Act actually narrowsthe advantage for biologics over small molecules,” David explained. “It’s time for the pharmaceutical industry to choose: Do biologics need more market incentives than small molecules, or not? If pharma wants equal incentives for all drugs, Congress should bring biologics in line with small molecules and equalize them both at no more than nine years of exemption from negotiation.”
2. Merith Basey, P4ADNow’s executive director, sat down with health and policy expert RJ Eskow on The Zero Hour and discussed the drug price reforms in the Inflation Reduction Act, the fight to push back on Big Pharma power, and the work to be done to increase competition, transparency, and equity in the drug price system. “Headlines in the summer… said ‘maybe for the first time pharma is losing its power in Washington’ – that is music to my ears!” Merith shared about the passing of the historic Inflation Reduction Act. “People are excited about these reforms. Do they go far enough? No… We will continue pushing for patients.”
3. North Carolina advocate Steven Hadfield shared his perspective with Cardinal&Pine about how the $35 monthly insulin copay cap for people on Medicare passed in the Inflation Reduction Act will benefit him this year. “I think that’s gonna be real good,” Steven said of the new insulin copays that went into place last month. “I live on budgets. I mean, I’m not making the money I used to make… [this] stuff should not be so expensive.”
Have a great weekend!
For the price of a month’s supply of blood cancer drug Revlimid, you could buy two tickets to the Super Bowl AND 11 tickets to Beyoncé’s upcoming Renaissance Tour.
Welcome To The Week In Review.
The State of Drug Price Reform
President Biden highlighted the ways the historic drug price reforms in the Inflation Reduction Act are helping and will continue to help people across the United States in his State of the Union (SOTU) address this week. The new law is already providing relief for millions of people on Medicare like David and Marguerite, who both will benefit from the Medicare $35-a-month insulin copay cap provision and were guests of their senators, Tammy Baldwin and Mark Warner respectively, at the address. “As a diabetic and someone living on a fixed income, and as someone who didn’t make a whole lot of money back in the day as a teacher, I’m delighted to be saving close to two thousand dollars a year on my medicines, especially insulin,” said Virginia native Marguerite. Patients will next feel the impact of the reforms in the Inflation Reduction Act on April 1 when many patients who receive drugs at doctors’ offices and hospitals may have prescription coinsurance increases due to drug company price hikes limited to the rate of inflation. This means many patients who once were at the mercy of drug company price increases, may have their cost increases limited, delivering savings and more predictability. To ensure that patients continue seeing relief from the new law, the President strongly vowed to veto any attempts that Big Pharma allies might make to weaken the new law and raise drug prices. Earlier this week, Senate Finance Committee Chairman Ron Wyden made a similar commitment, pledging to stand in the way of any pharma attempts to weaken the Inflation Reduction Act. “Anybody [who] wants to water down the consumer protection provisions that we won after this titanic battle is gonna have to run over me,” he pledged at an event with Protect Our Care this week. President Biden also reminded the nation that the Inflation Reduction Act includes a provision that gives Medicare the power to negotiate lower prices for drugs, which willresult in nearly $300 billion in savings through 2031 without slashing any benefits — debunking a liepeddled yet again by Big Pharma allies. The President’s message on Tuesday was clear: Thanks to the historic new drug price law, patients pay less and taxpayers save money. The state of drug pricing in the United States? A whole lot better than last year, but with more fights ahead to lower prices for all. — (NBC News, Endpoints, WisPolitics, Fredericksburg Today, Legacy Newspaper, Endpoints, P4ADNow, Fierce Healthcare, House Speaker Kevin McCarthy)
2. “Six Thousand A Month Would Ruin Us.”
We are in the midst of what may well be the “golden age of drug discovery” in which many patients for the first time have the hope of new, effective treatments that could treat or even cure their conditions. Currently, however, these miracle medications come with a price tag that pushes them entirely out of reach for far too many people who need them. For doctors and patients alike, this reality is heart wrenching. “The idea that the care you deliver could bankrupt somebody and hurt an entire family is devastating,” shared reconstructive urologist Dr. Benjamin Breyer. For patient Scott Matsuda, who lives with a rare form of chronic leukemia and suffered for years from terrible side effects of his chemotherapy drugs, the innovation of a new pill, Jakafi, was “amazing”. The drug slowed the progression of his disease with no side effects, but it would cost him $6,000 every month. “We are solidly middle-class. We pay all our bills. We have a good credit score. Six thousand a month would ruin us,” Scott said. So for a while he simply went without Jakafi, suffering horrible side effects from chemotherapy drugs and further progression of his disease before he finally was able to find financial assistance through a private foundation. Kentucky patient Sue Lee has had to entirely forgo her Humira, which she says was a wonder drug for treating her painful plaque psoriasis, all because AbbVie has had unfettered pricing power for the last 20 years, allowing the pharmaceutical giant to hike the price again and again. She hopes that biosimilar competitors for Humira coming to market this year might help drive down the price, but she worries the savings will be minimal, keeping the drug out of reach until the $2,000 Medicare out-of-pocket cap provision from the Inflation Reduction Act goes into effect in 2025. The fact remains: Drug corporations won’t stop setting unjustified prices unless we stop them. — (The New York Times, The Journal)
3. Bipartisan Senate Judiciary Votes To Lower Drug Prices
The Senate Judiciary Committee, led by Chairman Dick Durbin and Ranking Member Lindsey Graham, passed out of committee, with bipartisan support, a package of five bills that will promote competition to lower drug prices for patients. The bills crack down on patent abuse, increase coordination between the U.S. Food and Drug Administration (FDA) and the United States Patent and Trademark Office (USPTO) to ensure patents are used to reward innovation and not to unfairly block competition, and investigate the practices of pharmacy benefit managers (PBMs). “Together these bills can help to restore balance to our drug price system and increase competition to lower drug prices for patients,” said P4ADNow executive director Merith Basey about the package. “The bipartisan support early in the 118th Congress demonstrates the public popularity of efforts to lower the cost of prescription drugs,” Politico reported. We agree – these reforms have been long-sought by patient advocates, and it’s time Senate Majority Leader Schumer brings these bills to the Senate floor and that all senators vote to pass them. — (Endpoints, P4ADNow, Politico)
Déjà vu: Yet again, Bristol Myers Squibb/Pfizer and Johnson & Johnson hiked prices of two critical blood thinners in lockstep at the beginning of the year. In January, Eliquis’ price was hiked by 6 percent (from $529 to $560), and Xarelto’s was hiked by 5 percent (from $516 to $542). Check out our report from last year for a reminder of how drug companies use methods like “shadow pricing” — a practice that Senator Amy Klobuchar and Representative Katie Porter requested the Federal Trade Commission and the Department of Justice investigate.
Have a great weekend, everyone!
The Bills Aim To Curb Patent Abuses By Drug Companies, And Shine A Light On Secret Practices Of Pharmacy Benefit Managers
WASHINGTON, D.C. — The following statement was issued by Merith Basey, executive director of Patients For Affordable Drugs Now, in response to the Senate Judiciary Committee’s vote to advance a package of five bipartisan bills that would lower drug prices and promote both competition and innovation by curbing anticompetitive behavior committed by pharmaceutical corporations and pharmacy benefit managers (PBMs):
“On behalf of patients all across the country, thank you Chairman Durbin, Ranking Member Graham, and members of the Senate Judiciary Committee for passing legislation to help fix key elements of our rigged drug price system. We fully support the bills to crack down on patent abuse, increase coordination between the FDA and USPTO to ensure patents are used to reward innovation and not to unfairly block competition, as well as investigate the practices of pharmacy benefit managers (PBMs). Together these bills can help to restore balance to our drug price system and increase competition to lower drug prices for patients.
“We urge Senate Majority Leader Schumer to bring these bills to the floor for a vote as soon as possible, and we call on each senator to support the passage of this bipartisan package intact without any weakening amendments from Big Pharma.”
###
Background:
A recording of this morning’s Senate Judiciary Committee markup can be watched here.
The legislative package includes the following bills:
S. 79, Interagency Patent Coordination and Improvement Act of 2023, establishes an interagency task force between the United States Patent and Trademark Office and the United States Food and Drug Administration to encourage collaboration on drug patents that will promote competition and lower drug prices.
S. 113, Prescription Pricing for the People Act of 2023, requires the FTC to examine the role of intermediaries within the pharmaceutical supply chain, including pharmacy benefit managers (PBMs), and develop policy recommendations to prevent anticompetitive behavior and ensure savings are passed on to patients.
S. 142, Preserve Access to Affordable Generics and Biosimilars Act of 2023, cracks down on collusive pay-for-delay settlements by making them presumptively anticompetitive, a reform that would stop brand-name companies from artificially lengthening monopoly periods in an effort to keep more affordable generic competitors from reaching consumers in a timely fashion.
S. 148, Stop STALLING Act, eliminates drug company abuse of the Food and Drug Administration’s citizen petition program by defining sham petitions and deeming them anti-competitive under the Federal Trade Commission Act.
S. 150, Affordable Prescriptions for Patients Act of 2023, defines product hopping as anti-competitive under the Federal Trade Commission Act and permits the FTC to undertake litigation against manufacturers engaged in this tactic; the bill also facilitates biosimilar market entry by limiting the number of patents a brand-name drug company can use to block competition from biosimilars.
The five bills can now receive votes on the Senate floor.
Welcome To The Week In Review.
The First Humira Competitor Has Arrived In The U.S.
AbbVie’s blockbuster drug Humira faces biosimilar competition for the first time in the drug’s 20-year reign in the United States. Amjevita, manufactured by Amgen, is the first of many biosimilars that are likely to come to market this year to compete with Humira and will serve as a key test of whether biosimilars will drive down drug prices in a meaningful way for patients. AbbVie has been able to raise Humira’s annual price to more than $80,000 over the last 20 years by exploiting the patent system, applying for more than 300 patents related to Humira (a shady tactic known as “patent thicketing”), and suing competing biosimilars to delay their launches. “The result is that we have been paying roughly five times what they pay in the EU for Humira,” shared cancer patient and P4AD founder David Mitchell. “And patients in the US have suffered economic and physical harm as a result.” Sue Lee is one of those patients. She took Humira to treat painful sores caused by a chronic skin condition called psoriasis, but when she retired and went on Medicare, the drug suddenly cost her $8,000 per year – which she couldn’t afford. Without the medication, her sores “came back with a vengeance.” With additional Humira biosimilars slated to be on the market in 2023, patients like Sue hope that the price of the medication may finally be reined in. But that outcome is “a little complicated” to predict. “With biosimilars, there can be different rules, and doctors will likely need to see big savings to want to push you over to this new drug,” explained NPR pharmaceuticals correspondent Sydney Lupkin. “But there are expected to be several more Humira biosimilars this summer, and that could start to move the needle on price.” We sure hope so – patients have been waiting for this relief for far too long. — (Tradeoffs, The New York Times, Financial Times, NPR)
2. The Inflation Reduction Act? “I Think It’s Wonderful.”
The drug price reforms in the Inflation Reduction Act that went into place this year are bringing much-needed relief to patients across the United States. Debra Coleman, who lives in South Carolina, was unable to afford the $150 it would have cost her for the Shingrix vaccine before the law passed. “I don’t have that kind of extra money,” Debra said. Thanks to the Inflation Reduction Act, vaccines are now free for people on Medicare like Debra. The new law also caps insulin copays at $35 per month for people on Medicare – truly “life-changing” for Robert Brown from Wisconsin, whose insulin cost nearly $200 per month for the many years before the law was in place. Looking ahead, patients aren’t the only ones who will see relief from the Inflation Reduction Act – the new law likely saves the U.S. government significant funds. A new study published in The Journal of The American Medical Association (JAMA) Health Forum found that if the provision allowing Medicare to negotiate prices for costly drugs had existed as the study modeled it from 2018-2020, Medicare would have saved $26.5 billion, or 5% of all drug spending. Considering the average price Medicare paid for brand-name drugs more than doubled from 2009 to 2018, it’s safe to say the drug price reforms are a welcome change to a rigged system. “I think it’s wonderful. It’s the first thing that came across my mind when I was standing in line at (the pharmacy),” remarked Debra on the passage of the Inflation Reduction Act. “It was like balloons going up.” We agree, Debra. — (Greenville Business Magazine, WTMJ, NBC News, JAMA Network)
3. Big Pharma’s Big Lobbying
Big Pharma spent record amounts of money lobbying Congress and federal agencies in 2022 – yet the industry still suffered its biggest defeat with the Inflation Reduction Act becoming law. Open Secrets’ new analysis released this week shows that pharmaceutical and health product companies spent $372 million (more than any other industry) on lobbying. The Pharmaceutical Research & Manufacturers of America (PhRMA) spent $29.2 million on lobbying, making the trade group the top spender in the industry. Pfizer won the prize for biggest spender of any individual drug company, with $14.9 million on federal lobbying, and Biotechnology Innovation Organization (BIO) was the third largest industry spender at nearly $13.3 million. Big Pharma’s power is no joke. “There are currently 1,834 registered lobbyists working for pharmaceutical and health products, meaning the industry has more than three lobbyists for each member of the Congress.” Despite all this power and spending, patients took on Big Pharma and won in 2022. We’ve seen signs of turmoil within the industry ever since – this week, generics manufacturer Tevaquit top industry association PhRMA, making it the second company to leave in the last few months. Politico reported that Teva’s move “follows a rare defeat in a years-long battle against Democrats’ drug pricing measures that included allowing Medicare to negotiate drug prices.” Looks like Big Pharma’s big lobbying doesn’t stand up to the will of patients. – (Open Secrets, Politico, STAT)
HEADS UP: Following this week’s hearing, we’ll be watching for the Senate Judiciary Committee’s upcoming markup and vote on a package of bipartisan bills that take important steps to address abuses of our patent system that inhibit innovation, block competition, and allow drug corporations to raise prices without restraint.
Have a great weekend, everyone!
Welcome To The Week In Review.
“I’m Very Thankful For This.”
The drug price reforms in the Inflation Reduction Act are continuing to provide much-needed relief to patients. A new report by the Department of Health and Human Services (HHS) found that 1.5 million people on Medicare would have saved an average of $500 on insulin had the insulin copay cap been in place in 2020. “That’s more money in seniors’ pockets,” remarked President Joe Biden upon the release of the report. Senior William Koopman, who lives with type 2 diabetes and will see his insulin costs drop by more than half, shared, “I’m very thankful for this.” For Patricia in Orange County, Virginia, and Bill in Conneaut, Ohio, the Inflation Reduction Act has meant free access to the expensive shingles vaccine. “This vaccine will protect [Patricia] from an excruciatingly painful condition that affects more than 1 million Americans every year,” wrote Patricia’s Congresswoman Abigail Spanberger, who supported the legislation. Had the policy been in place in 2020, 3.6 million people on Medicare would have received free shingles shots. These reforms are just the tip of the iceberg for how the Inflation Reduction Act will continue to help patients. “As other parts of the IRA are implemented, 2023 promises to be a year of behind-the-scenes action to shape what consumers pay at the pharmacy counter in the future,” Tradeoffs podcast reported in an interview with STAT News’ Rachel Cohrs. — (HHS, The White House, AARP, Fox News, Star Beacon, KFF, Tradeoffs)
2. Look Out, Big Pharma: Senate Subpoenas On The Horizon
Senate Democrats appear prepared to capitalize on their expanded majority this Congress by wielding their subpoena power to take on corporate corruption, including within the pharmaceutical industry. In December, Senate Majority Leader Schumer suggested that subpoenas will be key to the Democrats’ strategy this year. Sen. Bernie Sanders, who now chairs the Senate Health, Education, Labor and Pensions (HELP) Committee, indicated he has plans to subpoena pharmaceutical executives to come before Congress. “We are living in a country today where drug companies are making huge profits while people split their life-saving pills in half because they can’t afford them,” shared the senator. Sen. Ron Wyden, chair of the Senate Finance Committee, has indicated that he may subpoena drug corporation Amgen if they don’t respond to his repeated requests for the company’s compliance with the committee’s investigation into Amgen’s unusually low tax rates. We are glad to see these senators take on pharmaceutical corporation corruption and represent patients’ best interests. — (Bloomberg, Fierce Pharma)
3. New Congress, New Opportunities For Drug Price Reform
With a new Congress, comes renewed opportunities to fix our drug price system to ensure everyone has access to medications. In the Senate, Senators Grassley, Durbin, Tillis, and Coons introduced bipartisan legislation this week that would establish a task force between the United States Patent and Trademark Office (USPTO) and the Food and Drug Administration (FDA) to encourage collaboration and aid each agency in boosting competition to drive down the prices of prescription drugs and other goods. “Congress must lead the way in making the patent system more accountable to the public,” the Initiative for Medicines, Access & Knowledge (I-MAK)’s Tahir Amin and Priti Krishtel wrote in an op-ed. And, more good news for patients, key members of Congress on both sides of the aisle have doubled down on their commitment to crack down on pharmacy benefit managers (PBMs) this Congress. Chair of the House Committee on Oversight and Accountability James R. Comer plans to hold hearings that look into PBMs, and Senate Finance Chairman Ron Wyden is encouraged by the commitment from members of both parties to work on legislation that takes on the middlemen. The New York Timesthis week laid out a third area that Congress has yet to address: The groundbreaking gene therapies coming to market at astronomical prices. These therapies are powerful treatments, and potential cures, for some of the world’s most devastating diseases, but, “the situation simply isn’t sustainable,” said Ruth Lopert, a health economist at George Washington University. “If it comes all at once and the payments can’t be stretched out, it will have a crushing effect,” shared Dr. Steven Pearson, president of the Institute for Clinical and Economic Review. We are committed to continue to work with Congress and fight for reforms until all patients can afford the prescription drugs they need. – (Office of Senator Grassley, The Hill, Roll Call, Politico, The New York Times)